emergency department assessment tool - …...violence in the emergency department there is a...
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Emergency Department Assessment Tool
Initial Assessment: MM/DD/YYYY
Metric Includes Yes No Comments
Is there 24/7 presence of hospital security
in the emergency department? x
Are there policies and procedures in place
for hospital security response in common
area (waiting room)?x
Are there policies and procedures in place
for hospital security response in secured
area (emergency department treatment
rooms)?
x
Are there policies and procedures in place
to outline hospital security interventions
during escalating situations?x
Is there a standard policy for staff safety
escorts?x
Is there a hospital-wide response to an
incident of workplace violence in the
emergency department?
x
Is there a training program in place for
hospital security officers relevant to
potentially violent situations specific to the
emergency department?x
Is there a policy in place for initiation of
supervision (e.g. non-clinical sitter) for
patients at high risk for violent behavior?x
Does the hospital have a violence rapid
response team? x
Is public (visitor) access to treatment areas
restricted?x
Is there a protective barrier between the
check in area and the staff?x
Is there an alarm system in place for staff to
use to alert others of an escalating or
violent situation?
x
Does a hospital security officer monitor the
flow of traffic into the emergency
department from outside?
x
Do treatment rooms have doors that can be
closed?x
The hospital security
guidelines in place support
an initiative of safety in the
emergency department.
(Obtain copies of all
policies and procedures
related to interface of
hospital security with the
emergency department)
The physical design of the
emergency department
offers protection from
occurrences of violence Sam
ple
Emergency Department Assessment Tool
Do treatment rooms have doors that can be
locked?
x
All the rooms have doors that close,
but only one room locks. The room
that locks is identified as the
psychiatric room, but is left unlocked
the majority of the time. Security has
the only key to the room.
Do patient rooms have any objects readily
available that have a high potential for
being used as weapons? (e.g. catheters,
injection syringes, glass blood tubes, etc.)
x
The psychiatric room has a door that
closes over all of the equipment (ie.
Oxygen, suction, sharps container,
gloves, etc.)
Is there a protective barrier between the
nurses' station and the public/visitor area
or throughway?x
The nurses' station is enclosed in
glass. The glass is not bullet proof and
serves mainly as a sound barrier.
Can nurse/patient interaction be viewed or
heard from common nursing areas? x
Are there rooms that are secluded from
regular foot traffic, out of view, or out of
range of hearing from the centrally-staffed
and populated areas (nurses' station, triage,
waiting room, etc.)?
x
Where are nurses’ stations located? The nurses's station is located in the
center of the emergency department
with the patient rooms on the
outside periphery.Are staff members typically present at the
nurses' station?x
Where are the medication access points
located?
There is one medication room with a
keyed entry located just off the
nurses' station.Are there locked medication rooms with
limited access?
x
Key entry only and then with a Pyxis
system that uses biofeed back in the
medication room. The medication
room is not identified by a sign.
Is there a medication area located within
the nurses’ station and is it identifiable to
patients/visitors ?
x
Are the parking lot and ambulance area
monitored for safety? How?x
There are cameras located inside the
ambulance bay. Security can monitor
the bay, but the officer was not sure
the system was functioning.
Is the ambulance entrance a restricted
access point of entry? x
Is the ambulance entrance located near
treatment areas? x
The physical design of the
emergency department
offers protection from
occurrences of violence
Sam
ple
Emergency Department Assessment Tool
Are transport teams and other staff able to
readily communicate with the emergency
department staff from the ambulance
entry?
x
Are the parking lot and ambulance entrance
well-lit?x
Does hospital security patrol the
surrounding exterior of the emergency
department?
xThe security rounds occur at the top
of every hour.
Is there surveillance equipment being used
inside the emergency department and/or
on the grounds surrounding the emergency
department?x
If there is surveillance equipment being
used, note where the cameras are located,
who monitors the surveillance video and
how frequently this occurs.
There are cameras in the four trauma
bays and the psychiatric room. The
monitors are located in the corner of
the rooms covered with a protective
plate. There are monitors in the
emergency department and in the
security office. Five nurses were
asked to operate the surveillance
equipment and 5 nurses were not
familiar with the equipment. Security
knew were the monitors were and
that there were video tapes, but did
not know if the equipment was
operational.Is there a support system in place through
occupational health, human resources or
employee assistance program?x
Is there a visible, hospital-wide initiative to
prevent violence in the workplace?x
Are there institutional policies and
procedures in place for prevention,
responding and reporting violent
occurrences?
x
Is there an occurrence report specific to
reporting workplace violence?x
Is there a policy that describes the process
for responding and reporting after an
incident has occurred? Is reporting an
incident mandatory?x
Each employee has full access to a
help line. A general communication
sheet is also available, as well as, the
use of an incident report.
There is administrative
support for reporting
violence in the emergency
department
There is a reporting
mechanism in place that
follows the chain of
command and includes
proper follow-up.
The physical design of the
emergency department
offers protection from
occurrences of violence
Sam
ple
Emergency Department Assessment Tool
Can emergency department
leaders/supervisors tell you what their
responsibilities are following a report of a
violent incident?x
When the director of the department
was asked to verbalize his
responsibilities on a reported
incident, he easily stated the informal
the process.
Is data compiled and summarized from
accumulated reports of violent
occurrences?x
If data is collected, do hospital
administration, human resources and/or
risk management participate in the review
of violent occurrence report summaries?
Not applicable
Can emergency department staff describe
the process of review and disposition of an
occurrence report that they complete?x
Does the staff member receive verbal
and/or written feedback on the disposition
of an occurrence report they have
completed?
x
Follow-up with the staff member is
completed with all incidents
reported.
If a Staff Assessment Survey was completed,
to what extent are nurses able to identify
what constitutes a violent act (physical and
verbal abuse)?
Not applicable
Is violence prevention, response and
reporting training included in emergency
department staff orientation?x
If violence prevention training is provided,
is the training mandatory? If so, how
frequently must the employee participate in
this training?
x
Not applicable
If violence prevention training is provided,
does the training include instruction on de-
escalation techniques?
Not applicable
If violence prevention training is provided,
does the training include physical
prevention and response measures?
Not applicable
If violence prevention training is provided,
does the training include reporting
procedures?
Not applicable
Is there a comprehensive program in place
that includes prevention, responding and
reporting?x
A written agreement is in place
between the hospital and local law
enforcement to respond if called by
the hospital.
There is a reporting
mechanism in place that
follows the chain of
command and includes
proper follow-up.
The emergency
department nursing staff
receives annual education
on violence
The local law enforcement
have a role in emergency
department safety
Sam
ple
Emergency Department Assessment Tool
Is there a lock down policy in place? If yes,
is local law enforcement aware of/included
in lock-down policies and procedures?x
If there is a lock down policy in place, are
there periodic safety lock down drills? x
Not applicable
Is the area the hospital serves rural or
urban?
Rural
Is the hospital located in a high crime area?x
The local law enforcement
have a role in emergency
department safety
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